Bühler Karl-Ernst
Julius-Maximilians- University in Würzburg, D-97082 Würzburg, Germany.
Med Health Care Philos. 2005;8(1):79-87. doi: 10.1007/s11019-004-6411-6.
A conceptual analysis of basic notions of addictiology, i.e., Euphoria, Ecstasy, Inebriation, Abuse, Dependence, and Addiction was presented. Three different forms of dependence were distinguished: purely psychic, psycho-physiological, and purely somatic dependence. Two kinds of addiction were differentiated, i.e. appetitive and deprivative addiction. The conceptual requirements of addiction were discussed. Keeping these in mind some ethical problems of drug therapy and psychotherapy were explained. Criteria for the assessment of therapeutic approaches are suggested: effectiveness, side effects, economic, ethic, and esthetic valuation.
本文对成瘾学的基本概念进行了概念分析,即欣快感、狂喜、陶醉、滥用、依赖和成瘾。区分了三种不同形式的依赖:纯粹心理依赖、心理 - 生理依赖和纯粹躯体依赖。区分了两种成瘾类型,即嗜好性成瘾和剥夺性成瘾。讨论了成瘾的概念要求。牢记这些内容,解释了药物治疗和心理治疗的一些伦理问题。提出了评估治疗方法的标准:有效性、副作用、经济、伦理和美学评估。